BIRMINGHAM - APRIL 2022

FREE HYPNOTHERAPY FOUNDATION WEEKEND

IBIS STYLES HOTEL
OLDBURY
BIRMINGHAM
B69 4RJ

Saturday 17th & Sunday 18th September 2022
Full Name *

First Name Last Name
Address *

Street Address

Street Address 2

Town City

Post Code
E-mail *
Home Telephone Number. *
Mobile Telephone Number *
Age *
How did your hear about Innervisions? *
current occupation *
Have you trained in hypnosis before? *

Yes No
Do you have any mental health issues that you are currently aware of *

Yes No
Are you available to attend this free training weekend in Birmingham on 17th & 18th September 2022? *

YES NO
Please tell us why you would like to be considered for a free place on module one *
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